Vituity anesthesia?

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NewStreet

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Anybody have any information about what it is like to work for Vituity? Looks like they recently replaced California Anesthesia Associates (CAA) at two hospitals in Southern California (MemorialCare Long Beach and MemorialCare Saddleback).

Edit: Also, can anyone comment on how it works when one group takes over a hospital from another group? Will the docs at CAA have their hours/pay cut? Thanks!
 
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NewStreet said:
Anybody have any information about what it is like to work for Vituity? Looks like they recently replaced California Anesthesia Associates (CAA) at two hospitals in Southern California (MemorialCare Long Beach and MemorialCare Saddleback).

Edit: Also, can anyone comment on how it works when one group takes over a hospital from another group? Will the docs at CAA have their hours/pay cut? Thanks!
Click to expand...
Just go hourly. Don’t do productivity. Don’t do w2 unless it involves a ton of guranteeed time off like 25 weeks off.

Vituity just another name. They used to be called some other name. Like Comcast Comcast cable had such a bad reputation. They changed it to xfinity cable to try to confuse people.

Like how Sheridan anesthesia eventually because Amsurg/envison via mergers.
 
Vituity is the group who undercut that contract in Des Moines recently. Spoke to their upper management during the rushed transition and they seemed clueless, arrogant, and in way over their heads. Didn't waste my time talking with them long enough to see how they are at the clinical/hospital level.
 
NewStreet said:
Anybody have any information about what it is like to work for Vituity? Looks like they recently replaced California Anesthesia Associates (CAA) at two hospitals in Southern California (MemorialCare Long Beach and MemorialCare Saddleback).

Edit: Also, can anyone comment on how it works when one group takes over a hospital from another group? Will the docs at CAA have their hours/pay cut? Thanks!
Click to expand...

The docs have to resign with the new group. As for what that means, it is unknown. They will likely implement a new staffing/call structure and pay.

Likely it will be majority locums for quite a while.
 
Vituity took over the long beach memorial contract?
 
I know an anesthesiologist that they hired to be in charge of some of the operations. Complete tool- incompetent. This company aint goin nowhere.
 

CEP America Unveils New Name of Vituity

CEP becomes Vituity as it continues to grow and transform the practice, delivery and business of healthcare. Learn more.
www.vituity.com www.vituity.com

Just like Comcast cable rebranding to xfinity cable

Same crap. Different logo company. CEP ran a Washington DC hospital into the ground taking all the money from admin and than bailing

They are just a shell amc that needs to take profits from providers. Offer Zero value in this market. But hospital admin falls for the sales pitch all the time
 
This is an old 2016 cep had sent one of my network of friends I saved on an email. U can decipher the scams going on. Who’s knows what the 2025 structure is.
 

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You partner with these folks, you've run out of options which is the sad case for MANY organizations. The future does not look pretty for many of these healthcare organizations. They bit more they can chew. They'll be putting out 3-5 alarm fires weekly. Rather than leave doctoring to doctors and hospital mgt. to hospitals, no they want to do it all which will ultimately lead to their demise.
 
aneftp said:
This is an old 2016 cep had sent one of my network of friends I saved on an email. U can decipher the scams going on. Who’s knows what the 2025 structure is.
Click to expand...

I thought only Scientology and other cults have that many “levels”.
 
aneftp said:

CEP America Unveils New Name of Vituity

CEP becomes Vituity as it continues to grow and transform the practice, delivery and business of healthcare. Learn more.
www.vituity.com www.vituity.com

Just like Comcast cable rebranding to xfinity cable

Same crap. Different logo company. CEP ran a Washington DC hospital into the ground taking all the money from admin and than bailing

They are just a shell amc that needs to take profits from providers. Offer Zero value in this market. But hospital admin falls for the sales pitch all the time
Click to expand...


They took over old Envision sites in Bay Area too. Now Vituity is recruiting for pediatric cardiac anesthesiologist in Long Beach. Good luck with that.
 
Given that a hospital system is going to get rid of a group (See Providence in Portland or Billings Clinic in MT) due to negotiating impasse or toxic relationship and that the hospital system wants to contract with a large nationwide Anesthesia Management Company, which of the following is best/worst:
  1. Environ
  2. NAPA (see Reno)
  3. SCI
  4. Somnia
  5. Sound (Oceanside?)
  6. Vituity
  7. Et al.
It is pretty obvious that a hospital would struggle to build an anesthesia group de novo.
Of the above choices can you follow the money? Private equity? Wall Street? etc.
 
Caninehalitosis said:
Given that a hospital system is going to get rid of a group (See Providence in Portland or Billings Clinic in MT) due to negotiating impasse or toxic relationship and that the hospital system wants to contract with a large nationwide Anesthesia Management Company, which of the following is best/worst:
  1. Environ
  2. NAPA (see Reno)
  3. SCI
  4. Somnia
  5. Sound (Oceanside?)
  6. Vituity
  7. Et al.
It is pretty obvious that a hospital would struggle to build an anesthesia group de novo.
Of the above choices can you follow the money? Private equity? Wall Street? etc.
Click to expand...
They are better off going w2 in house.

So the answer is none of them

Admin gets paid a ton of money to work. Yet if they contract out hospital based services. It just shows the laziness in these admin.

It’s extra work. There is no benefit to admin working harder to bring anesthesia in house. It’s the cold hard truth.

I told u guys a couple years ago when Mednax/napa was losing their big hospitals contract in northern Virginia including a mega level 1 center

Them clueless inova admin tried to let a 24 year old 45k a year employee figure how to do the next step for anesthesia services. This is equivalent of malpractice by administration. They are so lazy.

The cheapest solution is to keep things in house. Vertical integration.

That involves work by admin. But it’s far easier for them to out source the services to the death star. Than try to figure it out for themselves. Yet the death star still needs to make a 20% profit as well.
 
aneftp said:
I told u guys a couple years ago when Mednax/napa was losing their big hospitals contract in northern Virginia including a mega level 1 center
Click to expand...
Did they lose Inova fairfax? Is that run by death star? I never see ads for that place. Ever.
 
aneftp said:
They are better off going w2 in house.

So the answer is none of them

Admin gets paid a ton of money to work. Yet if they contract out hospital based services. It just shows the laziness in these admin.

It’s extra work. There is no benefit to admin working harder to bring anesthesia in house. It’s the cold hard truth.

I told u guys a couple years ago when Mednax/napa was losing their big hospitals contract in northern Virginia including a mega level 1 center

Them clueless inova admin tried to let a 24 year old 45k a year employee figure how to do the next step for anesthesia services. This is equivalent of malpractice by administration. They are so lazy.

The cheapest solution is to keep things in house. Vertical integration.

That involves work by admin. But it’s far easier for them to out source the services to the death star. Than try to figure it out for themselves. Yet the death star still needs to make a 20% profit as well.
Click to expand...
I did locums at a hospital system that went from W2 in house to Vituity. The scuttlebutt I heard was Vituity was going to be able to get them fully staffed in a year (it's almost a year). They'd only use 1 locums company (Weatherby). So far, they continue to lose people, and a whole bunch of locums companies are recruiting now. Rates I've heard are $425/h.

I loved that locums job, but they didn't want to keep me (even as a warm body to cover an OR) because of my refusal to do OB after Vituity took over.
 
NPJR said:
Did they lose Inova fairfax? Is that run by death star? I never see ads for that place. Ever.
Click to expand...
Northstar took over Fairfax and Alexandria
Inova kept fair oaks in house w2

Which means they took a half hearted effort
 
aneftp said:
They are better off going w2 in house.

So the answer is none of them

Admin gets paid a ton of money to work. Yet if they contract out hospital based services. It just shows the laziness in these admin.

It’s extra work. There is no benefit to admin working harder to bring anesthesia in house. It’s the cold hard truth.

I told u guys a couple years ago when Mednax/napa was losing their big hospitals contract in northern Virginia including a mega level 1 center

Them clueless inova admin tried to let a 24 year old 45k a year employee figure how to do the next step for anesthesia services. This is equivalent of malpractice by administration. They are so lazy.

The cheapest solution is to keep things in house. Vertical integration.

That involves work by admin. But it’s far easier for them to out source the services to the death star. Than try to figure it out for themselves. Yet the death star still needs to make a 20% profit as well.
Click to expand...
This is a phenomenal explanation of what's actually happening.
 
i can see this happening in san diego. asmg has negotiated over $100-200k in stipends per doc. no idea how scripps and sharp system can afford these long term, likely a hold over until they bring in a management group with MD/CRNAs or hospital based takeover.
 
lakersbaby said:
i can see this happening in san diego. asmg has negotiated over $100-200k in stipends per doc. no idea how scripps and sharp system can afford these long term, likely a hold over until they bring in a management group with MD/CRNAs or hospital based takeover.
Click to expand...

They can EASILY afford it. I want you to review the volume of stroke, STEMI and trauma that comes through the door. The hospitals, especially in CA, receive GIANT stipends for those based on volume. We're talking on the scale of $5-50 million dollars. Now anesthesia may not be the first service line when it comes to handling these cases, but we are required in order to be a stroke/stemi/level X trauma hospital. Some portion of these stipends should be earmarked for anesthesia. Further, review the facility fee billed for each surgery/procedure - this is another source of income in which the hospital uses to cover anesthesia stipends. They can easily afford huge stipends, they just want to make you feel like they can't as part of the negotiation. Also, so that they can earmark some of the money to go to their suits who don't contribute at all to patient care...
 
USCTrojan11 said:
They can EASILY afford it. I want you to review the volume of stroke, STEMI and trauma that comes through the door. The hospitals, especially in CA, receive GIANT stipends for those based on volume. We're talking on the scale of $5-50 million dollars. Now anesthesia may not be the first service line when it comes to handling these cases, but we are required in order to be a stroke/stemi/level X trauma hospital. Some portion of these stipends should be earmarked for anesthesia. Further, review the facility fee billed for each surgery/procedure - this is another source of income in which the hospital uses to cover anesthesia stipends. They can easily afford huge stipends, they just want to make you feel like they can't as part of the negotiation. Also, so that they can earmark some of the money to go to their suits who don't contribute at all to patient care...
Click to expand...

www.beckershospitalreview.com

Scripps Health back in black with $109.7M Q3 operating improvement | Becker's

Scripps Health posted an operating income of $75.8 million in the third quarter of 2024.
www.beckershospitalreview.com www.beckershospitalreview.com


projects.propublica.org

Scripps Health, Full Filing - Nonprofit Explorer - ProPublica

Since 2013, the IRS has released data culled from millions of nonprofit tax filings. Use this database to find organizations and see details like their executive compensation, revenue and expenses, as well as download tax filings going back as far as 2001.
projects.propublica.org

2023 Form 990 for Sharp HealthCare | Cause IQ

View and download the year Form 990 for Sharp HealthCare, for the fiscal year ending 2023-09.
www.causeiq.com www.causeiq.com
 
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lakersbaby said:
i can see this happening in san diego. asmg has negotiated over $100-200k in stipends per doc. no idea how scripps and sharp system can afford these long term, likely a hold over until they bring in a management group with MD/CRNAs or hospital based takeover.
Click to expand...
MDs and CRNAs don't work well together in California which is an opt-out state. It's either ALL MDs or ALl CRNAs in a facility not not both going forward. This is a result of the "Independent" push by CRNAs. and this is why there is an AA bill in California which will likely pass.
 
lakersbaby said:
$20M a year in stipends just to anesthesia will cut into that profit pretty heavily
Click to expand...


Net profit was $230mil at Scripps and $436mil at Sharp. Anesthesia is vital to their profit centers. There’s a huge risk to revenue if they don’t keep their service lines open. For the same reason they heavily stipend all trauma docs (neurosurgery, IR, Trauma, ortho trauma). Admin in both systems are very stable and experienced. If they could do it cheaper they would. Heavy turnover and shortages from 2-3 yrs ago are now resolved.
 
Last edited by a moderator:
NPJR said:
MDs and CRNAs don't work well together in California which is an opt-out state. It's either ALL MDs or ALl CRNAs in a facility not not both going forward. This is a result of the "Independent" push by CRNAs. and this is why there is an AA bill in California which will likely pass.
Click to expand...
ASMG left a hospital in San Diego and they are now crna only. I’ve heard a surgery center also got lost to crna only group, if outcomes don’t suffer and surgeons don’t complain this could be a growing trend.
 
lakersbaby said:
ASMG left a hospital in San Diego and they are now crna only. I’ve heard a surgery center also got lost to crna only group, if outcomes don’t suffer and surgeons don’t complain this could be a growing trend.
Click to expand...


They’re not CRNA only. It’s Sound, MD+independent CRNAs. That hospital lost a lot of surgeons to a nearby Scripps facility and Sound took them for a ride. Head CRNA there takes a lot of home call and makes over $800k/yr. Other CRNAs are young women who are not interested in call. Cardiac anesthesia gets $23k/week to cover a very low volume (10 pump cases/mo) program. That hospital was getting a bargain before subsidized by all the other sites of the bigger anesthesia practice. Hospital is now trying to bring anesthesia in-house and Sound will be out by year end.
 
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nimbus said:
They’re not CRNA only. It’s Sound, MD+independent CRNAs. That hospital lost a lot of surgeons to a nearby Scripps facility and Sound took them for a ride. Head CRNA there takes a lot of call and makes over $800k/yr. Other CRNAs are young women who are not interested in call. Cardiac anesthesia gets $23k/week to cover a very low volume (10 pump cases/mo) program. That hospital was getting a bargain before subsidized by all the other sites of the bigger anesthesia practice. Hospital is trying to bring anesthesia in-house and Sound will be out by year end.
Click to expand...

Keep hearing the same story over and over. The value of sticking it to the docs must be greater than actually paying them.
 
nimbus said:
They would have come out way ahead if they were willing to make a fair deal with the existing group.
Click to expand...
But is has to cost them more in the long run to patch work with locums, sign with a AMC only to have their dreams crushed and drop the AMC contract and go back to locums while building an in house direct employment option. Maybe they can spread out the “cost” so people don’t see it as such a loss when the execs get reviewed? Or they just get fired and move to a new system?

Maybe there is something from their perspective that we are missing?
 
Radar26 said:
Maybe there is something from their perspective that we are missing?
Click to expand...
Yeah. Hospital administrators have no personal skin in the game. If they play hardball and win they get the credit. If they play hardball and lose they often don’t take a hit and if they do they parachute out with a nice severance package.
 
Radar26 said:
But is has to cost them more in the long run to patch work with locums, sign with a AMC only to have their dreams crushed and drop the AMC contract and go back to locums while building an in house direct employment option. Maybe they can spread out the “cost” so people don’t see it as such a loss when the execs get reviewed? Or they just get fired and move to a new system?

Maybe there is something from their perspective that we are missing?
Click to expand...
I’ve always wondered the same thing. These people aren’t dumb. They must have this notion that they win either way.
 
Lab Lover said:
Yeah. Hospital administrators have no personal skin in the game. If they play hardball and win they get the credit. If they play hardball and lose they often don’t take a hit and if they do they parachute out with a nice severance package.
Click to expand...
Hospital admin at like
Bad nba nfl mlb or even college coaches

These guys once they get an executive title just recycle to other places becuase of the experience they have running places

It’s like once u get to be a chief anesthesiologist or even vice chief of a 2 man anesthesia group. U have “experience “ as a chief so your title looks better than ur actual performance.
 
NumTacos said:
I’ve always wondered the same thing. These people aren’t dumb. They must have this notion that they win either way.
Click to expand...


Public healthcare districts have an elected board of directors. Sometimes dumb people with no healthcare experience (realtors, chiropractors, etc) and personal agendas get elected to these boards.
 
coffeebythelake said:
Vituity has a contract in Wisconsin and they are quite disorganized. Inefficient. Not easy to work with. The only thing they know how to do is throw money at the problem.
Click to expand...
Yeah, I'm glad they didn't want me to stay due to requiring me to do OB. I talk to my friends who work with Vituity there after I left, and it sounds chaotic. Even talking with GI docs who I work with that still work in that system, it's gone downhill fast.
 
Anyone know what’s going on at the new Dublin, OH hospital? They’ve had a job posting since earlier this year for an April start date.
 
<(^_^)> said:
Dang just noticed nimbus deleted their account. First Scotty dog and now nimbus. Feeling old. Wish I had a chance to thank them for all their interesting posts over the years…
Click to expand...

Status Sciaticus said:
whyd they delete their accounts?
Click to expand...

SaltyDog was a couple years ago. Nimbus was just recently.

Both felt they were spending an unhealthy amount of time on this forum.
 
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